Banner Fort Collins Medical Center
4700 Lady Moon Drive, Fort Collins, CO · Banner Health · · NPI 1659787554
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Injection for bladder x-ray CPT 51600 | $150.90 | $383.00 | $157.03 – $9,872.00 | 13 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $194.64 | $494.00 | $134.89 – $8,568.00 | 13 |
| Injection for ureter x-ray CPT 50684 | $308.11 | $782.00 | $213.61 – $8,568.00 | 13 |
| Injection for ureter x-ray CPT 50690 | $706.05 | $1,792.00 | $380.76 – $8,568.00 | 13 |
| Injection jaw joint x-ray CPT 21116 | $100.86 | $256.00 | $104.96 – $8,568.00 | 13 |
| Injection of sinus tract CPT 20500 | $866.80 | $2,200.00 | $902.00 – $8,568.00 | 23 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $358.93 | $911.00 | $248.87 – $8,568.00 | 13 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $854.19 | $2,168.00 | $592.45 – $9,872.00 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $617.00 | $1,566.00 | $428.04 – $8,568.00 | 13 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $889.65 | $2,258.00 | $617.05 – $8,568.00 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $618.19 | $1,569.00 | $428.86 – $8,568.00 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,152.06 | $2,924.00 | $799.09 – $8,568.00 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $591.00 | $1,500.00 | $410.00 – $8,568.00 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,296.26 | $3,290.00 | $899.13 – $8,568.00 | 13 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $990.12 | $2,513.00 | $675.09 – $8,568.00 | 23 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,033.46 | $2,623.00 | $675.09 – $8,568.00 | 23 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $272.65 | $692.00 | $189.01 – $8,568.00 | 13 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $209.21 | $531.00 | $217.71 – $8,568.00 | 23 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $238.37 | $605.00 | $248.05 – $8,568.00 | 23 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $38.11 | $74.00 | $30.34 – $70.30 | 14 |
| Injection treatment of nerve CPT 64681 | $1,537.39 | $3,902.00 | $867.88 – $13,923.00 | 23 |
| Inject sacroiliac joint CPT 27096 | $1,071.68 | $2,720.00 | $743.33 – $8,568.00 | 13 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $814.00 | $2,066.00 | $847.06 – $8,568.00 | 23 |
| Inj for ext venography CPT 36005 | $299.05 | $759.00 | $207.46 – $8,568.00 | 13 |
| Inj for mammo ductogram CPT 19030 | $184.39 | $468.00 | $127.92 – $8,568.00 | 13 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $878.72 | $1,373.00 | $562.93 – $17,133.00 | 14 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $686.72 | $1,073.00 | $439.93 – $17,133.00 | 14 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $633.55 | $1,608.00 | $659.28 – $8,568.00 | 23 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $925.11 | $2,348.00 | $641.65 – $8,568.00 | 13 |
| Inj proc ankle arthr CPT 27648 | $217.09 | $551.00 | $150.47 – $8,568.00 | 13 |
| Inj proc elbow arthro CPT 24220 | $213.94 | $543.00 | $148.42 – $8,568.00 | 13 |
| Inj proc lumbr disk ea lvl CPT 62290 | $337.66 | $857.00 | $351.37 – $8,568.00 | 13 |
| Inj proc myelogram lumbar CPT 62284 | $179.27 | $455.00 | $186.55 – $8,568.00 | 13 |
| Inj proc sialogram CPT 42550 | $150.11 | $381.00 | $156.21 – $8,568.00 | 13 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $2.58 | $5.80 | $0.21 – $1.36 | 23 |
| Inj retro urethrocysto CPT 51610 | $139.87 | $355.00 | $145.55 – $9,872.00 | 13 |
| Inj scleros sol mult veins CPT 36471 | $1,218.25 | $3,092.00 | $845.01 – $8,568.00 | 13 |
| Inj scleros sol sgl vein CPT 36470 | $362.87 | $921.00 | $251.74 – $8,568.00 | 13 |
| Inj w/fluor eval cv device CPT 36598 | $143.02 | $363.00 | $148.83 – $13,923.00 | 23 |
| Ins cath ren art 1st bi CPT 36252 | $2,410.10 | $6,117.00 | $2,507.97 – $13,923.00 | 23 |
| Ins cath ren art 1st uni CPT 36251 | $1,556.30 | $3,950.00 | $1,619.50 – $13,923.00 | 23 |
| Ins cerv dilator (sep proc) CPT 59200 | $206.55 | $459.00 | $188.19 – $8,568.00 | 23 |
| Insert cath pleura with image CPT 32557 | $1,142.60 | $2,900.00 | $792.53 – $13,923.00 | 13 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Insertion catheter bladder non indwelling CPT 51701 | $100.42 | $195.00 | $79.95 – $8,568.00 | 23 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,853.38 | $4,704.00 | $1,928.64 – $13,923.00 | 23 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $1,736.75 | $4,408.00 | $1,807.28 – $12,545.00 | 13 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $2,945.54 | $7,476.00 | $3,065.16 – $22,491.00 | 23 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,246.62 | $3,164.00 | $1,297.24 – $8,568.00 | 23 |
| Insertion of catheter vein CPT 36500 | $349.08 | $886.00 | $363.26 – $8,568.00 | 13 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $8,237.36 | $20,907.00 | $8,571.87 – $41,769.00 | 23 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $7,376.47 | $18,722.00 | $7,676.02 – $41,769.00 | 23 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $4,392.31 | $11,148.00 | $2,397.56 – $29,531.00 | 13 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $763.57 | $1,938.00 | $794.58 – $8,568.00 | 23 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $916.05 | $2,325.00 | $953.25 – $8,568.00 | 23 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $11,620.24 | $29,493.00 | $12,092.13 – $77,331.00 | 23 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $2,432.56 | $6,174.00 | $2,531.34 – $29,531.00 | 23 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $3,879.72 | $9,847.00 | $4,037.27 – $29,531.00 | 23 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $3,037.74 | $7,710.00 | $3,161.10 – $19,961.26 | 23 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $2,640.59 | $6,702.00 | $2,747.82 – $22,491.00 | 23 |
| Insert pm/icd lead dual CPT 33217 | $4,224.86 | $10,723.00 | $4,396.43 – $29,531.00 | 23 |
| Insert/repl sq defib w/eltrd CPT 33270 | $22,957.59 | $58,268.00 | $22,491.00 – $77,331.00 | 23 |
| Insert swan-ganz cath CPT 93503 | $2,231.68 | $3,487.00 | $1,429.67 – $8,568.00 | 23 |
| Insert vad art access left hrt arterial access CPT 33990 | $2,215.46 | $5,623.00 | $2,305.43 – $43,338.00 | 13 |
| Ins icd gen exist sgl lead CPT 33240 | $11,786.51 | $29,915.00 | $12,265.15 – $54,139.13 | 23 |
| Insitu hybridization auto CPT 88367 | $349.43 | $719.00 | $294.79 – $867.62 | 23 |
| Insitu hybridization (fish) CPT 88366 | $596.81 | $1,228.00 | $167.04 – $1,166.60 | 23 |
| Insitu hybridization manual CPT 88368 | $349.43 | $719.00 | $294.79 – $867.62 | 23 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $382.00 | $786.00 | $167.04 – $746.70 | 23 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Insj perq vad r hrt venous CPT 33995 | $2,177.64 | $5,527.00 | $2,266.07 – $43,338.00 | 13 |
| Ins lv lead exist pm/icd CPT 33224 | $5,516.00 | $14,000.00 | $5,740.00 – $25,241.88 | 23 |
| Ins mark abd/pel for right perq CPT 49411 | $1,045.68 | $2,654.00 | $1,088.14 – $8,568.00 | 23 |
| Ins mark thor for right perq CPT 32553 | $986.18 | $2,503.00 | $1,026.23 – $8,568.00 | 23 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $893.59 | $2,268.00 | $602.70 – $8,568.00 | 23 |
| Ins pq tunnld ip cath w/img CPT 49418 | $2,555.48 | $6,486.00 | $2,659.26 – $13,923.00 | 23 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | $2,363.21 | $5,998.00 | $2,459.18 – $8,568.00 | 13 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | $6,718.49 | $17,052.00 | $6,991.32 – $30,077.78 | 23 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $3,392.73 | $8,611.00 | $3,530.51 – $73,500.84 | 23 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $10,256.21 | $26,031.00 | $10,672.71 – $45,998.71 | 23 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $6,706.67 | $17,022.00 | $6,979.02 – $25,241.88 | 23 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $6,387.53 | $16,212.00 | $6,646.92 – $22,491.00 | 23 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $7,012.02 | $17,797.00 | $7,296.77 – $41,769.00 | 23 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $48,275.20 | $75,430.00 | $27,712.80 – $71,658.50 | 23 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,556.30 | $3,950.00 | $1,619.50 – $13,923.00 | 23 |
| Insulin total CPT 83525 | $12.94 | $57.00 | $11.09 – $54.15 | 23 |
| Interdiscal perq aspir dx CPT 62267 | $455.07 | $1,155.00 | $473.55 – $8,568.00 | 23 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Interrog evl pm/ldls pm ip CPT 93288 | $59.10 | $199.00 | $36.36 – $189.05 | 23 |
| Intracard echo interv w/s&i CPT 93662 | $2,129.19 | $7,169.00 | $2,939.29 – $23,075.00 | 14 |
| Intrinsic factor antibody CPT 86340 | $10.91 | $59.00 | $14.63 – $56.05 | 23 |
| Intro cath dialysis circuit CPT 36901 | $1,317.93 | $3,345.00 | $1,371.45 – $8,568.00 | 23 |
| Intro cath dialysis circuit w/pta CPT 36902 | $6,187.77 | $15,705.00 | $5,558.01 – $41,769.00 | 23 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $12,271.92 | $31,147.00 | $11,055.14 – $41,769.00 | 23 |
| Intro catheter aorta CPT 36200 | $635.92 | $1,614.00 | $661.74 – $13,923.00 | 13 |
| Intro cath svc/ivc CPT 36010 | $345.14 | $876.00 | $359.16 – $8,568.00 | 13 |
| Intro long gi tube CPT 44500 | $541.75 | $1,375.00 | $563.75 – $9,872.00 | 23 |
| Intro long gi tube w/mult fluo CPT 74340 | $217.26 | $417.00 | $106.00 – $396.15 | 14 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,163.09 | $2,952.00 | $460.07 – $8,568.00 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.